Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES SENIOR CARE, LLC
Active OrganizationGREAT LAKES SENIOR CARE, LLC is a Physical Disabilities Residential Treatment Facility organization located in PORTAGE, Indiana. NPI 1376828228 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · PORTAGE, IN
Registration Details
- NPI Number
- 1376828228
- Provider Type
- Organization
- NPI Issued
- Oct 11, 2011 (14.659165972858 yrs)
- Last Updated
- Oct 11, 2011
- License
-
110126101 (IN)
Practice Information
- Address
-
6040 LUTE RDPORTAGE, IN, 463685008Browse IN providers · Browse ZIP 46368
- Phone
- 2198417559
- Fax
- 2197634858
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.